PORTNER COUNSELING GROUP (NPI# 1023460821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023460821 |
| Entity Type | Organization |
| Organization Name | PORTNER COUNSELING GROUP |
| Practice Address |
1800 N Federal Hwy Suite 206 Pompano Beach FL 33062-1034 |
| Practice Telephone | 9548956263 |
| Practice Fax Number | 2397750088 |
| Mailing Telephone | 9548956263 |
| Mailing Fax Number | 2397750088 |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2016-07-06 |
| Authorized Official Name | CASEY M PORTNER (MANAGING OWNER) |
| Authorized Official Telephone | 9548956263 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1706AD859301 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE DCF LICENSE | 1706AD859301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467803437 | Portner Counseling Group | Counselor | 2345 Stanford Ct, Suite 601, Naples, FL 34112-4874 | 2016-06-30 |
| Street Address |
1800 N FEDERAL HWY SUITE 206 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33062-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067178 | Charles Teebagy | Pediatrics | 1800 N Federal Hwy, #110, Pompano Beach, FL 33062-1095 | 2005-10-18 |
| 1912407230 | Monica Ferreira | Massage Therapist | 1800 N Federal Hwy, Pompano Beach, FL 33062-1034 | 2018-02-13 |
| 1437592920 | Michael H Crohn | Chiropractor | 1800 N Federal Hwy, Suite 105, Pompano Beach, FL 33062-1034 | 2013-04-15 |
| 1336582824 | Advanced Chiropractic & Anti-aging Center | Chiropractor | 1800 N Federal Hwy, Suite 105, Pompano Beach, FL 33062-1034 | 2013-04-15 |
| 1689913261 | Drew Moffett Bowyer | Community Health Worker | 1800 N Federal Hwy, Pompano Beach, FL 33062-1034 | 2013-02-02 |
| 1700186137 | William V Jensen Do Pa | Family Medicine | 1800 N Federal Hwy, Suite 104, Pompano Beach, FL 33062-1034 | 2010-11-02 |
| 1427365204 | Michael P. Logue, D.m.d., P.a. | Clinic/Center | 1800 N Federal Hwy, Suite 201, Pompano Beach, FL 33062-1034 | 2010-09-01 |
| 1093027856 | Dimitrios Lintzeris Do, Pa | Non-Pharmacy Dispensing Site | 1800 N Federal Hwy, Suite 207-8, Pompano Beach, FL 33062-1034 | 2010-07-09 |
| 1609026020 | Lech Nowak | Massage Therapist | 1800 N Federal Hwy, Suite 203, Pompano Beach, FL 33062-1034 | 2008-09-22 |
| 1447426226 | Medical Center of Pompano, Inc. | Family Medicine | 1800 N Federal Hwy, Suite 104, Pompano Beach, FL 33062-1034 | 2008-05-01 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
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| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
| 1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
| 1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
| 1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
| 1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
| 1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
| Find all providers in zip 33062 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538780077 | Shannon Marie Wagner | Counselor | 2310 E Atlantic Blvd Bldg 2, Pompano Beach, FL 33062-5251 | 2020-05-06 |
| 1528697232 | Sachi Ananda LLC | Counselor | 111 Briny Ave Apt 2605, Pompano Beach, FL 33062-5669 | 2020-04-04 |
| 1003337676 | Mary Nelms | Counselor | 2832 Ne 13th Ave, Pompano Beach, FL 33064-6805 | 2017-07-04 |
| 1902254006 | Stuart Lyle Azoulay | Counselor | 1510 Sw 4th Ave, Pompano Beach, FL 33060-9002 | 2016-05-31 |
| 1811353568 | Denisse Knorr | Counselor | 137 Ne 7th St, Pompano Beach, FL 33060-6133 | 2016-01-11 |
| 1205245958 | Anthony Smith | Counselor | 4120 Ne 2nd Ave, Pompano Beach, FL 33064-3508 | 2014-08-07 |
| 1194155465 | Dione Massicot De Pooter | Counselor | 2300 W Sample Rd, Suite 102, Pompano Beach, FL 33073-3080 | 2013-11-22 |
| 1649562562 | Laura E. Booth | Counselor | 5131 Ne 19th Ter, Pompano Beach, FL 33064-5635 | 2011-05-11 |
| 1871720144 | Tamela J Stull- Drugan | Counselor | 100 E Sample Rd Ste 200, Pompano Beach, FL 33064-3554 | 2009-06-15 |
| 1831676477 | Dean Omowale Sababu | Counselor | 380 Sw 12th Ave, Pompano Beach, FL 33069-3502 | 2018-07-26 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33062 |
Please comment or provide details below to improve the information on PORTNER COUNSELING GROUP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.